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Out of Hospital

Macmillan Palliative Care Team

Macmillan Specialist Palliative Care Team

This is a team of Macmillan Clinical Nurse Specialists (Macmillan Nurses) employed by Heart of England NHS Foundation Trust, to provide specialist palliative care in the community. The team has the 'Macmillan' name as the national charity 'Macmillan Cancer Support' supported initial funding for some of the posts, and provides information and resources for the service.

What does the service do?

Macmillan Nurses have specialist knowledge in palliative care about medications and therapies as well as information and advice about many issues which might arise for patients with palliative care needs. There might be times during the patient's illness when symptoms need assessment or could be improved or relieved by different treatments or medications.

Who does the service work with locally?

The Macmillan team is part of a larger community multidisciplinary team (MDT) with Marie Curie Hospice, Solihull. The community MDT includes Consultants in Palliative Medicine, Specialist Palliative Care Doctor, Clinical Nurse Specialists, Palliative Pharmacist and Allied Health Professionals. The community MDT meets every Wednesday to review and plan care for patients with complex palliative care needs in the community.

The Macmillan Nurse will work with the patient's GP to support the symptom management and palliative treatment of the patient in the community. The Macmillan Nurse will seek consent from the patient to view their medical record. If at any time a patient feels there is any medical information that they do not wish the Macmillan Nurse to view, they are advised to discuss this with their GP.

The Macmillan Nurse will work with the patient's District Nurse or Care Home nurse to provide advice on symptom management and palliative care. The District Nursing team or Care Home Nurses will provide the ongoing nursing support to the patient, through a nursing care plan.

The Macmillan nurse will seek the patient's consent to share the palliative care record with Marie Curie Hospice Solihull medical team, community MDT and inpatient unit (for out of hours advice) and appropriate healthcare professionals involved in the patient's care.

Working with Marie Curie Hospice Solihull

The Macmillan Nurse can arrange for a specialist palliative care doctor or allied health professional to visit the patient for an assessment or for the patient to attend an outpatient appointment at the hospice if appropriate.  They can also arrange a stay in the hospice inpatient unit to provide symptom relief for the patient or respite care if this becomes necessary, or referral to other services such as Day Hospice.

What if the patient no longer needs ongoing support from the Macmillan Service?

Contact with the Macmillan Nurse may vary from a single assessment visit to a period of ongoing advice. If the problems that the patient had have been resolved, for example symptoms are relieved – the patient may be discharged from the Macmillan team and ongoing support will continue through the GP and district nurse/care home nurse.  If a patient is discharged from the Macmillan team, they can self-refer again in the future.

Solihull Macmillan Team Office
20 Union Road,
B91 3EF
0121 712 8474
Fax: 0121 712 7299

Office hours 9am - 5pm seven days a week

Marie Curie Hospice, Solihull
0121 254 7800

For advice 5pm – 9am seven days a week